Laparoscopic Gastroepiploic Lymphovascular Pedicle Harvesting for the Treatment of Extremity Lymphedema: A Novel Technique.
Identifieur interne : 000451 ( Main/Exploration ); précédent : 000450; suivant : 000452Laparoscopic Gastroepiploic Lymphovascular Pedicle Harvesting for the Treatment of Extremity Lymphedema: A Novel Technique.
Auteurs : Michael E. Johnston [États-Unis] ; Juan Socas ; Joanna L. Hunter ; Eugene P. CeppaSource :
- Surgical laparoscopy, endoscopy & percutaneous techniques [ 1534-4908 ] ; 2017.
Abstract
Vascularized lymph node transfers have multiple donor sites with risk of iatrogenic lymphedema. We sought to describe in detail a surgical technique that is safe, reproducible, and efficient in harvesting gastroepiploic vascularized lymph nodes using real-time indocyanine green (ICG) fluorescent imaging. Photographs and video were acquired from a case to depict a step-by-step approach. ICG was endoscopically injected into the submucosa of the greater curvature of the stomach at the outset of the procedure. A laparoscopic harvest of the gastroepiploic vascular pedicle and lymph nodes ensued with the assistance of fluorescent imaging. Laparoscopic gastroepiploic lymph node harvesting aided by real-time ICG fluorescent mapping technique is safe, feasible, and effective at gathering vascularized lymphatic tissue for successful lymph node transfer in patients with severe lymphedema.
DOI: 10.1097/SLE.0000000000000412
PubMed: 28582379
Affiliations:
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Hunter</name></author><author><name sortKey="Ceppa, Eugene P" sort="Ceppa, Eugene P" uniqKey="Ceppa E" first="Eugene P" last="Ceppa">Eugene P. Ceppa</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28582379</idno><idno type="pmid">28582379</idno><idno type="doi">10.1097/SLE.0000000000000412</idno><idno type="wicri:Area/PubMed/Corpus">000163</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000163</idno><idno type="wicri:Area/PubMed/Curation">000163</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000163</idno><idno type="wicri:Area/PubMed/Checkpoint">000163</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000163</idno><idno type="wicri:Area/Ncbi/Merge">009155</idno><idno type="wicri:Area/Ncbi/Curation">009155</idno><idno type="wicri:Area/Ncbi/Checkpoint">009155</idno><idno type="wicri:Area/Main/Merge">000451</idno><idno type="wicri:Area/Main/Curation">000451</idno><idno type="wicri:Area/Main/Exploration">000451</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Laparoscopic Gastroepiploic Lymphovascular Pedicle Harvesting for the Treatment of Extremity Lymphedema: A Novel Technique.</title><author><name sortKey="Johnston, Michael E" sort="Johnston, Michael E" uniqKey="Johnston M" first="Michael E" last="Johnston">Michael E. Johnston</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Indiana University School of Medicine, Indianapolis, IN.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Indiana</region></placeName><wicri:cityArea>Department of Surgery, Indiana University School of Medicine, Indianapolis</wicri:cityArea></affiliation></author><author><name sortKey="Socas, Juan" sort="Socas, Juan" uniqKey="Socas J" first="Juan" last="Socas">Juan Socas</name></author><author><name sortKey="Hunter, Joanna L" sort="Hunter, Joanna L" uniqKey="Hunter J" first="Joanna L" last="Hunter">Joanna L. Hunter</name></author><author><name sortKey="Ceppa, Eugene P" sort="Ceppa, Eugene P" uniqKey="Ceppa E" first="Eugene P" last="Ceppa">Eugene P. Ceppa</name></author></analytic><series><title level="j">Surgical laparoscopy, endoscopy & percutaneous techniques</title><idno type="eISSN">1534-4908</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Vascularized lymph node transfers have multiple donor sites with risk of iatrogenic lymphedema. We sought to describe in detail a surgical technique that is safe, reproducible, and efficient in harvesting gastroepiploic vascularized lymph nodes using real-time indocyanine green (ICG) fluorescent imaging. Photographs and video were acquired from a case to depict a step-by-step approach. ICG was endoscopically injected into the submucosa of the greater curvature of the stomach at the outset of the procedure. A laparoscopic harvest of the gastroepiploic vascular pedicle and lymph nodes ensued with the assistance of fluorescent imaging. Laparoscopic gastroepiploic lymph node harvesting aided by real-time ICG fluorescent mapping technique is safe, feasible, and effective at gathering vascularized lymphatic tissue for successful lymph node transfer in patients with severe lymphedema.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Indiana</li></region></list><tree><noCountry><name sortKey="Ceppa, Eugene P" sort="Ceppa, Eugene P" uniqKey="Ceppa E" first="Eugene P" last="Ceppa">Eugene P. Ceppa</name><name sortKey="Hunter, Joanna L" sort="Hunter, Joanna L" uniqKey="Hunter J" first="Joanna L" last="Hunter">Joanna L. Hunter</name><name sortKey="Socas, Juan" sort="Socas, Juan" uniqKey="Socas J" first="Juan" last="Socas">Juan Socas</name></noCountry><country name="États-Unis"><region name="Indiana"><name sortKey="Johnston, Michael E" sort="Johnston, Michael E" uniqKey="Johnston M" first="Michael E" last="Johnston">Michael E. Johnston</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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